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Nursing HomeMedicaid Investigative

Chimney Rock Villa

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

106 East 13th Street, Bayard, NE 6933449 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 2 Google reviews

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (11 vs median 5)
  • High staff turnover (66%)
  • High RN turnover (62%)

Bottom 25% in NE · Meets national RN staffing standard · $110,988 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.88hrs
OK
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility44.7%
Worse than Avg
Here
44.7%
US
15.5%
NE
20.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
5.3%
NE
5.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
14.4%
NE
19.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
15.3%
NE
19.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
19.5%
NE
19.3%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility11.4%
Worse than Avg
Here
11.4%
US
1.6%
NE
3.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.3%
Better than Avg
Here
83.3%
US
81.8%
NE
80.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Above state avg (6.7)
12 complaint-triggered
$110,988 in fines

Families have filed multiple complaints triggering 12 deficiencies at this facility, with recurring issues in medication management, resident safety and accident prevention, and care planning and assessment. The facility shows a pattern of deficiencies across multiple surveys spanning from 2023 to 2025, though all violations have been corrected according to state records. Consider these persistent quality concerns when evaluating this facility.

Nov 24, 2025Complaint
1
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Jul 30, 2025Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Jul 30, 2025Complaint
1
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Mar 25, 2025Complaint
4
0689Actual harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 11, 2024Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

May 9, 2024Complaint
3
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Mar 25, 2025

$31,135

Fine

Feb 5, 2024

$79,853

Ownership & Operations

Who Operates This Facility

Owner / Operator

Chimney Rock Villa

Organization Type

government

Ownership & Management

Owners

City of Bayard

Owner · Organization

Key personnel

Baird, ChrisManaging Control - Governing BodyHenkel, TannerManaging Control - Governing BodyHernandez, JamieManaging Control - Governing BodyKraus, JudithManaging Control - Governing BodyMarquez, MartinManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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